Remoxipride
Also called Romoxipride
Overview
Remoxipride (Roxiam) is an atypical antipsychotic (although according to some sources it is a typical antipsychotic) which was previously used in Europe for the treatment of schizophrenia and acute mania but was withdrawn due to toxicity concerns (incidence of aplastic anemia in 1/10,000 patients). It was initially launched by AstraZeneca in 1990 and suspension of its use began in 1993. Remoxipride acts as a selective D₂ and D₃ receptor antagonist and also has high affinity for the sigma receptor, possibly playing a role in its atypical neuroleptic action.[1]
Due to its short half-life twice daily (bid) dosing is required, although a once-daily controlled-release tablet has been developed. There was some interest in its use in the treatment of treatment-resistant schizophrenia.[3]
Chemistry
Harm reduction information
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Sources
- Other Vela JM, Buschmann H, Holenz J, Párraga A, Torrens A. Antidepressants, Antipsychotics, Anxiolytics: From Chemistry and Pharmacology to Clinical Application. 2007
- Journal / agency Köhler C, Hall H, Magnusson O, Lewander T, Gustafsson K. Biochemical pharmacology of the atypical neuroleptic remoxipride. Acta Psychiatrica Scandinavica. Supplementum. 1990. doi:10.1111/j.1600-0447.1990.tb05282.x · PMID 1978484
- Journal / agency Alexander MS, Chakravarti SK, Sundararajan K, Mullin JM, Shaw SH, Blomqvist M, Lockett CM. Once-daily controlled release remoxipride is equieffective with twice-daily immediate release remoxipride in the treatment of schizophrenia. Journal of Psychopharmacology. January 1993. doi:10.1177/026988119300700307 · PMID 22290842
- Journal / agency Conley R, Dixon L, Nguyen JA, Tamminga C, Raymond R. Remoxipride therapy in treatment resistant schizophrenia. Schizophrenia Research. April 1993. doi:10.1016/0920-9964(93)90521-J
- Journal / agency Conley R, Dixon L, Nguyen JA, Tamminga C, Raymond R. Remoxipride therapy in poorly responsive schizophrenics. Schizophrenia Research. April 1993. doi:10.1016/0920-9964(91)90208-9
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